Death and preventable death in trauma patients in a level-1 trauma center in Thailand
, , , and | Jun 04, 2020
About this article
Article Category: Brief communication (original)
Published Online: Jun 04, 2020
Page range: 185 - 188
DOI: https://doi.org/10.1515/abm-2019-0059
Keywords
© 2019 Osaree Akaraborworn et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.
Causes of death
| Exsanguination | 110 (46.4%) | 128 (32.8%) |
| Head injury | 83 (35.0%) | 174 (44.5%) |
| Multiple trauma | 33 (13.9%) | 47 (12.0%) |
| Respiratory failure | 10 (4.2%) | 22 (5.7%) |
| Multiorgan failure | 6 (2.5%) | 35 (8.9%) |
| Sepsis | 1 (0.4%) | 32 (8.2%) |
| Arrest on arrival | 100 (42.2%) | 109 (27.9%) |
| Others | 10 (4.2%) | 21 (5.4%) |
Details of preventable deaths
| Male | 67 | 20 | 0.7538 | Exsanguination | Delayed diagnosis |
| Male | 54 | 29 | 0.9575 | Sepsis | Protocol problem |
| Male | 57 | 34 | 0.6955 | Heart failure | Delayed diagnosis |
| Male | 64 | 21 | 0.9381 | Exsanguination | Delayed diagnosis |
| Male | 43 | 57 | 0.1522 | Head injury | Inadequate resource |
Characteristics of trauma patients
| Gender, male | 314 (80) |
| Age, year (IQR) | 36 (26–53) |
| Mechanism of injuries | |
| MCC | 53 (13.6) |
| MVC | 169 (43.4) |
| Bicycle | 22 (5.6) |
| Auto versus pedestrian | 41 (10.5) |
| GSW | 10 (2.6) |
| Stab wound | 44 (11.3) |
| Falls | 1 (0.2) |
| Assaulted | 10 (2.6) |
| Other | 41 (10.3) |
| ISS (IQR) | 26 (18–34) |
| TRISS (IQR) | 0.3075 (0.0582–0.8085) |
Deaths classified by severity score
| ≤15 | 68 (18%) |
| 15–24 | 65 (17%) |
| ≥25 | 253 (65%) |
| 0–0.75 | 272 (70%) |
| >0.75 | 114 (30%) |